Key result
This review highlights the shifting demographics of congenital heart disease, emphasizing the increasing prevalence of noncardiac comorbidities and the need for multisystem longitudinal care.
Why the study?
As adults living with congenital heart disease now outnumber children in North America, they acquire noncardiac comorbidities and multisystem complications that present unprecedented care challenges as they age.
This review highlights the multisystem challenges and increasing noncardiac comorbidities faced by the growing population of aging adults with congenital heart disease.
Adult CHD requires multispecialty teams for multisystem comorbidities; extends pediatric models to lifelong longitudinal care.
As the demographics of congenital heart disease (CHD) have shifted, there are now more adults living with CHD than children in North America. This presents unprecedented challenges as patients with CHD acquire noncardiac comorbidities and seek care for a variety of reasons, including noncardiac surgery and emergency department (ED) visits. CHD shifts from a one organ problem to a multisystem disease and requires a team of specialists to maintain high-quality longitudinal care. In this review, we summarize the challenges patients with CHD and their providers face as they age. We review the demographics of CHD and health care utilization. We examine the rates of noncardiac comorbidities and the current quality of care received by adult patients with CHD.
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Keir et al. (2022) conducted a review in Adult Congenital Heart Disease. This review highlights the shifting demographics of congenital heart disease, emphasizing the increasing prevalence of noncardiac comorbidities and the need for multisystem longitudinal care.
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